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TODD D FULLERTON DNP, RN, PMHNP-BC
NPI 1720767866
Nurse Practitioner - Psychiatric/Mental Health in Liberty, MO

Active since July 17, 2023
1030 MAPLE WOODS DR, LIBERTY, MO 64068(816) 876-4087 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Todd D Fullerton Dnp, Rn, Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TODD D FULLERTON DNP, RN, PMHNP-BC (NPI 1720767866) is an individual psychiatric/mental health provider in Liberty, Missouri, licensed in Missouri (2002005242) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1720767866
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameTODD D FULLERTONCredential: DNP, RN, PMHNP-BC
Location Address1030 MAPLE WOODS DRLiberty, MO 64068-2384
Mailing Address1030 Maple Woods DrLiberty, MO 64068-2384 · (816) 876-4087
Phone(816) 876-4087
Sole ProprietorNo
Enumeration DateJuly 17, 2023
NPPES CertifiedJuly 15, 2023
✔ NPI 1720767866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MO · 2002005242
1030 MAPLE WOODS DR, Liberty, MO 64068
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Todd Fullerton's NPI number?

The NPI number for Todd Fullerton is 1720767866. It was assigned to this individual provider in the NPPES registry on July 17, 2023.

Where is Todd Fullerton located?

Todd Fullerton practices at 1030 Maple Woods Dr, Liberty, MO 64068. The listed phone number is (816) 876-4087.

What is Todd Fullerton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Todd Fullerton was last updated on July 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.